Is Systemic Lidocaine the New Standard of Care for Pain due to Inflammation?

Systemic lidocaine has been used successfully since the 1960s as an analgesic for central and peripheral neuropathic pain, migraine headaches, phantom limb pain or sensations, and for CRPS. We are now using it in abdominal surgeries (pre-emptively) in patients with sepsis or systemic infections from sepsis or IVDU, in cases of osteomyelitis, and in pancreatitis. This program presents information to explain its systemic analgesic properties, but also its ability to serve effectively as an antiinflammatory agent. The latter effect likely contributes to its analgesic properties.

Faculty: Don Bivins, MD

Target Audience

This 1-hour CE activity is designed for all clinicians who treat chronic pain. 

Learning Objectives

Upon completion of this activity, participants should be better able to:

  1. Converse knowledgably on lidocaine’s mechanism of action at the sodium channel
  2. Discuss the mechanisms of lidocaine’s antiinflammatory properties
  3. Explain by case example lidocaine’s effectiveness as a systemic analgesic and antiinflammatory agent
  4. Confirm the dosing strategies for systemic lidocaine as proposed by the speaker

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The information provided in this activity is for continuing education purposes only and is not meant to subsitute for the independent medical judgement of a health care provider relative to diagnostic and treatment options of a specific patient's medical condition.

Presentations used with permission. Copyright © Academy of Integrative Pain Management 2018

For questions regarding CME for this activity, you may reach the department of education at the Academy of Integrative Pain Management at


Course summary
Available credit: 
  • 1.00 ACPE
  • 1.00 AMA PRA Category 1 Credit(s)™
  • 1.00 ANCC
  • 1.00 Document of Attendance
Course opens: 
Course expires: 

Don H. Bivins, MD, directs the inpatient pain management service at the 700-acute-care-bed, Trauma Level I Carilion Roanoke Memorial Hospital, part of the larger Carilion Clinic and the Virginia Tech Carilion School of Medicine. He is board certified in neurology and hospice and palliative medicine. He has held previous faculty appointments at Wake Forest University School of Medicine department of neurology, the Tufts University School of Dentistry Craniofacial Pain Center, and the Virginia College of Osteopathic Medicine departments of neurology and neuroanatomy.

Disclosure of Conflict of Interest

All individuals in a position to control the content who had relevant financial relationships are listed below. If their name is not listed below, they disclosed that they had no relevant financial relatioships.

Dr. Bivins reports that he has nothing to disclose.

Acknowledgement of Commercial Support
No commercial support was received for this educational activity.


Method of Learner Participation: Each learner will listen to each audio self-directed module while following along with the visual slides. Upon completion, each learner will answer evaluation questions to receive their certificate.

Satisfactory Completion: Learners must complete an evaluation to receive a certificate of completion. Your chosen sessions/videos must be viewed in their entirety.

Bibliographic Sources: Bibliographic sources can be found on the program slides.

The Academy of Integrative Pain Management is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Academy of Integrative Pain Management designates this live activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The American Osteopathic Association accepts ACCME accredited programs for Category 2-A CME credit.

Nurses and Pharmacists
In support of improving patient care, this activity has been planned and implemented by Amedco, LLC and the Academy of Integrative Pain Management. Amedco, LLC is jointly accredited by the American Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Amedco designates this enduring material activity for a maximum of 1 contact hour for nurses and 1 knowldege-based contact hour for pharmacists. Learners should claim only the credit commensurate with the extrent of their participation in the activity. PHARMACIST NOTE: The only offiical Statement of Credit is the one you pull from CPE Monitor. 

Nurse Practitioners
The American Association of Nurse Practitioners (AANP) recognizes the Accreditation Council for Continuing Medical Education (ACCME) and the American Nurses Credentialing Center (ANCC) as approved accreditors and allow reciprocity for AANPCP continuing education credit.

Available Credit

  • 1.00 ACPE
  • 1.00 AMA PRA Category 1 Credit(s)™
  • 1.00 ANCC
  • 1.00 Document of Attendance

Accreditation Period

Course opens: 
Course expires: 


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